Sma Medicine & Nephrology Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SMA MEDICINE & NEPHROLOGY CLINIC LLC

Practice address

1515 Kanis Park Dr Ste B
Little Rock, AR 72205-4569

Phone

(501) 603-9277

Fax

(501) 603-9877

NPI assigned

Jan 11, 2007

Last updated

Nov 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moses C Ejiofor, M.D.NPI 1942277843

Title

President

Phone

(501) 603-9277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moses C Ejiofor Sr., M.D.

  • Nephrology Specialist/Technologist
  • Little Rock, AR
  • NPI 1942277843
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1437209491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 KANIS PARK DR STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054569",
            "telephone_number": "501-603-9277",
            "fax_number": "501-603-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KANIS PARK DR STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054569",
            "telephone_number": "501-603-9277",
            "fax_number": "501-603-9877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S. University Ave",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055342",
            "country_code": "US",
            "telephone_number": "501-603-9277",
            "fax_number": "501-603-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMA MEDICINE & NEPHROLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "EJIOFOR",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-603-9277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Smalling, PHARMACIST
• Patrice Smalls, QBHP
• Douglas F Smart, M.D.

• Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.